Evidence map›Paper›PMID 41079759›Full record

ArticleOrthopaedic journal of sports medicine2025

Variability in Physical Therapy Protocols After Hip Arthroscopy.

Jacques Van Zyl, Mathew Hargreaves, Clay A Rahaman, Dev Dayal, Maxwell L Harrel, Thomas B Evely, Eugene W Brabston, Amit M Momaya, Aaron J Casp

Abstract read
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Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jacques Van ZylHeersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Mathew HargreavesDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Clay A RahamanDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Dev DayalDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Maxwell L HarrelDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Thomas B EvelyDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Eugene W BrabstonDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Amit M MomayaDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Aaron J CaspDepartment of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Hip arthroscopy remains one of the fastest-growing procedures in orthopaedic surgery, with an 85% increase in procedure frequency from 2011 to 2018. There is agreement on the need for physical therapy after hip arthroscopy and a strong literature base on various modalities that can be implemented to aid recovery. Yet, little continuity exists among institutions on rehabilitation prescriptions. Purpose: To identify common trends and the vast variability in publicly available physical therapy protocols after hip arthroscopy. Study Design: Cross-sectional study. Methods: Inclusion in protocol collection was based on the 175 Accreditation Council for Graduate Medical Education-accredited orthopaedic surgery programs and their affiliated surgeons. Rehabilitation protocols were collected utilizing a web-based search engine (Google.com) using the input "[Insert Program Name] hip arthroscopy rehabilitation protocol." Each protocol was analyzed for variability in brace utilization, weightbearing restrictions, range of motion (ROM) restrictions, exercise implementation, and duration for each phase and modality of rehabilitation. Results: Of the 175 programs, only 36 unique rehabilitation protocols were publicly available from 41 (23.4%) programs. Thirteen (36.1%) protocols required brace usage with a mean duration of 3.2 weeks. Weightbearing restrictions had the largest variability, ranging from full body weight to just 20 pounds of pressure. ROM restrictions were inconsistent among the 36 protocols with varying views on duration and degree of ROM restriction for various hip rotations. Exercise implementation varied from phase to phase of recovery with little agreement between protocols. Variability in time to return to various levels of activity also existed among the protocols analyzed. Conclusion: There is a significant amount of variability that exists within the publicly available hip arthroscopy rehabilitation protocols concerning brace wear, weightbearing restrictions, ROM restrictions, and exercise prescriptions. More work must be done to standardize rehabilitation protocols based on defined criteria and identify which factors have the greatest effect on patient recovery to maximize patient outcomes.

Indexed as

hip arthroscopyphysical therapyrehabilitation variabilitystandardized protocol

Identifiers

PMID41079759
PMCPMC12511671

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